title: Intraoperative digital specimen mammography: a significant improvement in operative efficiency.
abstract: BACKGROUND
  The goal of this study was to determine the length of operative time and its effect on surgeon productivity with the use of intraoperative digital specimen mammography (IDSM) compared to standard specimen mammography (SSM).
  
  
  METHODS
  A retrospective chart review was performed on 344 consecutive patients from a single breast surgeon from 2003 to 2010. Operative time was compared between procedures using SSM vs IDSM. Surgeon productivity was evaluated by the number of wire-localized excisions performed prior to and after implementation of IDSM.
  
  
  RESULTS
  Two hundred thirty patients underwent SSM and 114 underwent IDSM. Average operative time in the SSM group was 78 minutes vs 68 minutes in the IDSM group (P < .0001). In the first 2 years after implementation of IDSM, the number of wire-localized excisions performed increased by 20%.
  
  
  CONCLUSIONS
  Operative times were significantly shorter with the use of IDSM vs SSM, and this was associated with an increase in surgeon productivity.
authors.affiliation: Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA. Electronic address: mcamp@jhmi.edu.
authors.forename: Melissa S
authors.initials: MS
authors.lastname: Camp
authors.forename: Monica G
authors.initials: MG
authors.lastname: Valero
authors.forename: Nkeihuka
authors.initials: N
authors.lastname: Opara
authors.forename: Kelly
authors.initials: K
authors.lastname: Benabou
authors.forename: Linda
authors.initials: L
authors.lastname: Cutone
authors.forename: Diana
authors.initials: D
authors.lastname: Caragacianu
authors.forename: Laura
authors.initials: L
authors.lastname: Dominici
authors.forename: Mehra
authors.initials: M
authors.lastname: Golshan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001941:Breast Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D017598:Efficiency, Organizational; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008327:Mammography / Q000379:methods*; D015412:Mastectomy, Segmental; D008875:Middle Aged; D061646:Operative Time; D011856:Radiographic Image Enhancement; D012189:Retrospective Studies; D055815:Young Adult
keywords: Core biopsy; Image-guided biopsy; Nonpalpable breast cancer; Specimen; Wire localization